0001216128-17-000003.txt : 20170913 0001216128-17-000003.hdr.sgml : 20170913 20170912191240 ACCESSION NUMBER: 0001216128-17-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b ITEM INFORMATION: 4a5 FILED AS OF DATE: 20170913 DATE AS OF CHANGE: 20170912 EFFECTIVENESS DATE: 20170913 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OREGON PACIFIC BANCORP CENTRAL INDEX KEY: 0001216128 STANDARD INDUSTRIAL CLASSIFICATION: NATIONAL COMMERCIAL BANKS [6021] IRS NUMBER: 710918151 STATE OF INCORPORATION: OR FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-294566 FILM NUMBER: 171082000 BUSINESS ADDRESS: STREET 1: 1365 HWY. 101 CITY: FLORENCE STATE: OR ZIP: 97439 BUSINESS PHONE: 541-997-7121 MAIL ADDRESS: STREET 1: 1365 HWY. 101 CITY: FLORENCE STATE: OR ZIP: 97439 D 1 primary_doc.xml X0708 D LIVE 0001216128 OREGON PACIFIC BANCORP 1365 HWY. 101 FLORENCE OR OREGON 97439 541-997-7121 OREGON None None Corporation true Ronald S Green 1365 Hwy 101 Florence OR OREGON 97439 Executive Officer Director President, CEO and Director Joanne Forsberg 1365 Hwy 101 Florence OR OREGON 97439 Executive Officer Chief Financial Officer and Secretary Robert Edstrom 1365 Hwy 101 Florence OR OREGON 97439 Executive Officer Chief Credit Officer Robert King 1365 Hwy 101 Florence OR OREGON 97439 Director Jon Thompson 1365 Hwy 101 Florence OR OREGON 97439 Director Thomas Grove 1365 Hwy 101 Florence OR OREGON 97439 Director Richard Yecny 1365 Hwy 101 Florence OR OREGON 97439 Director Timothy Salisbury 1365 Hwy 101 Florence OR OREGON 97439 Director Robert Mans 1365 Hwy 101 Florence OR OREGON 97439 Director Danny Jones 1365 Hwy 101 Florence OR OREGON 97439 Director Joesph Benetti 1365 Hwy 101 Florence OR OREGON 97439 Director Robert Wright 1365 Hwy 101 Florence OR OREGON 97439 Director Cris Noah 1365 Hwy 101 Florence OR OREGON 97439 Director Commercial Banking Decline to Disclose 06b 4a5 false 2017-05-16 false true false 17000 2023850 418739 1605111 false 11 0 0 0 false OREGON PACIFIC BANCORP /s/ Ronald S. Green Ronald S Green President & CEO 2017-09-12